Individual
DIANA ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4611 CENTERVIEW, SAN ANTONIO, TX 78228-1202
(210) 255-8935
Mailing address
626 CLOWER, SAN ANTONIO, TX 78212-1430
(210) 461-6002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16329
TX
Other
Enumeration date
01/04/2023
Last updated
07/06/2024
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